title: Teaching primary prevention of Alzheimer's disease: does it make a difference?
abstract: Alzheimer's disease (AD) is one of the most feared illnesses among older adults. Although no cure exists, an emerging body of literature has outlined potentially risk-reducing behaviors. As evidence has become available on risk reduction, community organizations and advocacy groups have developed health education courses on the topic. This study examines the impact of one educational program on the audience's efficacy expectations and outcome expectations for behavior change. Participants included 53 older adults residing in a continuing care retirement community. The study used a pretest-posttest design with an experimental group (n = 33) and a control group (n = 20). Topics on weekly classes included the relationship between cardiovascular factors and AD, dietary factors implicated in AD, and mental stimulation to reduce AD risk. Class sessions consisted of lecture, discussion, and demonstration. Between-group differences were found for both efficacy (P = .016) and outcome expectations (P = .000). Within-group differences were only significant for increased outcome expectations related to literature-derived behaviors (P = .000). Future work should focus on action and prevention and on replication of the educational program's evaluation in a more diverse population.
authors.affiliation: Department of Veterans' Affairs, Decatur, GA, and Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA.
authors.forename: Carolyn K
authors.initials: CK
authors.lastname: Clevenger
authors.forename: Shileah
authors.initials: S
authors.lastname: Cantey
authors.forename: Mary Ellen
authors.initials: ME
authors.lastname: Quinn
keywords: behavior change; change in knowledge; health education; lifestyle change program